李建生从“尘痹肺络、积损伤正”论治尘肺病经验  

Professor Li Jiansheng′s Experience in Treating Pneumoconiosis Based on the Theory of"Dust Blocking the Lung Collaterals and Accumulated Injury Damaging Healthy Qi"

作　　者：王慧娟 赵虎雷 牛玉格 WANG Huijuan;ZHAO Hulei;NIU Yuge(Henan Province Third People′s Hospital,Henan Provincial Occupational Disease Hospital,Zhengzhou,Henan,China,450052;The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou,Henan,China,450001;Henan University of Chinese Medicine Provincial-Ministerial Co-Constructed Collaborative Innovation Center for Respiratory Diseases Prevention and Treatment with Traditional Chinese Medicine,Henan Provincial Key Laboratory of Traditional Chinese Medicine for Respiratory Diseases,Zhengzhou,Henan,China,450046)

机构地区：[1]河南省第三人民医院,河南省职业病医院,河南郑州450052 [2]河南中医药大学第一附属医院,河南郑州450001 [3]河南中医药大学呼吸疾病中医药防治省部共建协同创新中心,河南省中医药防治呼吸病重点实验室,河南郑州450046

出　　处：《河南中医》2025年第5期700-705,共6页Henan Traditional Chinese Medicine

基　　金：第七批全国老中医药专家学术经验继承项目{国家中医药人教函(2022)76号};河南省中医药科学研究专项项目(2023ZY2203)。

摘　　要：李建生教授认为,尘肺病的核心病机为“尘痹肺络、积损伤正”,即尘邪燥毒痹阻肺络,导致肺脾肾渐虚,进而产生痰湿、血瘀,最终导致病情加重。基于此病机,李教授提出了“补虚、润燥、化痰瘀、消瘀结”的治法,并研制尘肺病专方——养清尘肺方和金水尘肺方。此外,他还引入了呼吸导引操,以扶正通络。基于核心病机,李教授团队构建了尘肺病中医诊疗康复技术体系,包括中医辨证治疗概要、中医证候诊断标准、尘肺病康复专家共识以及尘肺病中医康复技术手册等,为尘肺病的临床治疗提供了标准化、流程化的方案。李教授的治疗方案能够有效改善尘肺病患者的临床症状,提高运动耐力及日常生活能力,为尘肺病的治疗提供了新的思路和方法。Professor Li Jiansheng thinks that the core pathogenesis of pneumoconiosis lies in"dust blocking the lung collaterals and accumulated injury damaging healthy qi."That is to say,dust-induced dryness and toxicity obstruct the lung collaterals,leading to gradual deficiency of the lung,spleen,and kidney.This results in the production of phlegm-dampness and blood stasis,ultimately exacerbating the disease.Based on this pathogenesis,Professor Li has established a treatment principle of"tonifying deficiency,moistening dryness,resolving phlegm-stasis,and dissipating stasis accumulation."He has developed specialized formulas for pneumoconiosis:Yangqing Pneumoconiosis Formula;Jinshui Pneumoconiosis Formula.Additionally,he has also introduced respiratory guidance exercises to strengthen healthy qi and unblock collaterals.Centered on the core pathogenesis,Professor Li′s team has constructed a TCM diagnosis,treatment,and rehabilitation system for pneumoconiosis.This system includes an outline of TCM syndrome differentiation and treatment,diagnostic criteria for TCM syndromes,an expert consensus on pneumoconiosis rehabilitation,and a technical manual for TCM rehabilitation,providing standardized and systematic clinical protocols.Professor Li′s therapeutic approach effectively alleviates the clinical symptoms,enhances their exercise endurance,and improves daily living capabilities in pneumoconiosis patients,offering novel strategies and approaches for its treatment.

关 键 词：尘肺病 “尘痹肺络 积损伤正” 养清尘肺方 金水尘肺方 呼吸导引操 尘肺病诊疗康复体系 李建生 

分 类 号：R249.2[医药卫生—中医临床基础]